| NPI | 1336892793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0003219) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT023472) |
| Enumeration Date | 2022-01-26 |
| Last Update Date | 2022-01-26 |